| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
13,657 |
5,589 |
$462K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,479 |
5,241 |
$417K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,116 |
3,271 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,173 |
3,018 |
$301K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
5,273 |
3,375 |
$286K |
| 76820 |
|
2,908 |
1,050 |
$190K |
| 76821 |
|
3,035 |
1,109 |
$188K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,510 |
1,985 |
$163K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,873 |
1,421 |
$87K |
| 99243 |
|
868 |
730 |
$79K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,114 |
868 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
721 |
661 |
$57K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
216 |
190 |
$30K |
| 99215 |
Prolong outpt/office vis |
205 |
156 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
92 |
$5K |
| 99242 |
|
53 |
53 |
$4K |
| 76801 |
|
29 |
24 |
$2K |
| 96127 |
|
69 |
63 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
32 |
$525.60 |